ReviewFrontiers in public health2026
Perioperative nutrition-oriented nursing for older women undergoing cancer surgery: frailty screening, enhanced recovery, and survivorship care.
Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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0 citing papers in PubMed.
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Authors and funding
3 authors.
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Abstract
Older women undergoing cancer surgery commonly enter the perioperative period with overlapping frailty, malnutrition, sarcopenia, obesity, multimorbidity, and treatment-related symptoms. These vulnerabilities reduce physiologic reserve and amplify the catabolic response to surgery, increasing the risk of complications, functional decline, delayed adjuvant treatment, and persistent nutritional impairment. Nutrition-oriented perioperative nursing provides a practical framework for translating frailty assessment and cancer nutrition guidance into coordinated care before surgery, during enhanced recovery, and after discharge. This Mini Review examines the frailty-malnutrition-surgical stress axis in older women with breast, gynecologic, thoracic, and other cancers requiring surgery. We propose an integrated two-step approach in which brief frailty and nutrition screening triggers multidimensional assessment, dietitian referral, symptom management, protein-energy support, and multimodal pre-habilitation. Within enhanced recovery pathways, nurses can protect nutritional intake by limiting unnecessary fasting, supporting individualized carbohydrate use, preventing postoperative nausea and vomiting, promoting early protein-containing oral feeding, and coordinating early mobilization. Continued reassessment after discharge is required because muscle loss, appetite disturbance, and treatment-related nutritional problems may persist into adjuvant therapy and survivorship. Current evidence supports integrated screening and multimodal care, but women-specific trials in geriatric oncology remain limited. Future studies should evaluate nurse-led implementation using functional, nutritional, treatment-continuity, and patient-reported outcomes rather than length of stay alone.
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